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Politics : A US National Health Care System? -- Ignore unavailable to you. Want to Upgrade?

To: i-node who wrote (18720)	8/10/2010 11:57:31 AM
From: skinowski	Respond to of 42652

Of the millions of cases docs see each year, what percentage get the problem solved because of the doctor? 5%? 1%? I seriously doubt that it is more than 10% in high-standard countries. The statement above is quite meaningless. Dybdahl needs to clarify his definitions.

To: i-node who wrote (18720)	8/10/2010 1:49:42 PM
From: dybdahl	Read Replies (2) \| Respond to of 42652

"Did the doctor "solve" the problem if he made a good diagnosis and prescribed the right drugs" If the drugs make the problem, that caused the diagnose, disappear, then yes. But simply prescribing insulin to a diabetes patient is not a solution, that's about making the problem tolerable. "If a radiologist determines my CT doesn't show any signs of disease, did he "solve" my problem?" No, then he just informed you that he could not be of much help. "What about a cardiologist who found no signs of heart disease (in my case, I still have the problem I originally went in about, but "knowing" my condition isn't life threatening has been a great "solution" as far as I'm concerned)?" No, that is diagnosing - you had the problem before the visit, and you have it afterwards, so the problem is not solved. "Or an oncologist who tells his patient, "I'm sorry, we have no treatment for your cancer"? That was, after all, the best solution modern medicine had to offer." That means that the problem is not solved. A friend of mine has high fever on his 8th week. The first 7 weeks were spend with diagnosing, on the 8th week, where he couldn't speak well and didn't eat by himself, they treated him with steroids. Now he can speak again and eat, but still no diagnose. I have a hunch that the problem is environmental, in his home. But no health care specialist has been visiting his home, yet, and he still hasn't got a diagnose. If I am right, he will improve slowly while now hospitalized at the hospital, and then he gets discharged, and maybe it will happen again. I mentioned the case to one of our partners, a very skilled ICU doctor, and within 2 minutes he suggested the same theory. But when I asked him: Would you send someone to examine his home, he said no... "we don't do that at our hospital". This is where health care fails. They would rather have this guy hospitalized for many days, than sending a consultant for an hour or two to a building to check for a couple of things.